Business Affiliate Request

Business Affiliate Request (required*)

Please leave this field empty.

Select your Business Affiliate account main activity*
B2BB2C
(Business to Business or Business to Consumers)

Paste/write product/service related Description*

Paste/write product/service related Amenities*

Insert max. 10 Search-Keywords product/service related*

Select product/service Main Category*

Or suggest Main Category

Select product/service exclusive for 5ense.me main category (if -NONE- nor suggestion above is selected/inserted)*
yes pleaseno thanks

Select topic/item or product/service Subcategory*

If previous selected: -suggest Subcategory- , insert it here

Select topic/item or product/service Detail Category*

If previous selected: -suggest Detail Category- , insert it here

Select your pricing model & current price offer (US $)*

Upload your Affiliate Agreement and/or if you firstly prefer your NDA here

Upload your product/service terms, warranty and conditions here

Upload 3 product/service example/sample images (All photos: HD | JPEG | min/max. 1024X683px | 2 MB)

Photo 1*

Photo 2*

Photo 3*

Upload high quality (Company) Logo* (PNG max. 250X450px | 2 MB)

Upload your high quality (Company) Favicon* (PNG min/max. 50X50px)

Upload a high quality Video if available (HD | MP4 | AVI | compressed to max. 5MB)

Your Surname*

Your First Name and related Initials*

Current (Company) Name for this Account*

Your (Company) Address and Number*

Country of Residence*

Your email, used also for confirmations*

Telephone Number Fixed*

Telephone Number Mobile*

Settle views and/or clicks and/or sales conversion per further determined fixed costs agreement by pro forma Internet Marketing (IM) budget*

If previous selected: -add larger Internet Marketing deposit- , insert it here

Select account active period of month(s)* (based on views, clicks & sales)

By monthly settlements
OR
By quarterly settlements

You hereby do agree to our Terms & Conditions at footer linked*